Jones Gary J
Emerg Nurse. 2002 Mar;9(10):29-35; quiz 36. doi: 10.7748/en2002.03.9.10.29.c1398.
The causes of anaphylactic shock and presenting features are not clearly understood. In addition, the treatment of people suffering from anaphylactic or anaphylactoid reactions has not always been effectively provided. This article aims to rectify some of the current areas of concern, especially highlighting the recent work carried out by the Resuscitation Council (UK) on this subject (Resuscitation Council UK 1999/2001). After reading this article you should be able to: Explain the circulation of the blood and changes that occur during an anaphylactic reaction. Summarise the antigen/antibody mechanism especially in relation to allergic reactions. Describe the difference between anaphylactic and anaphylactoid reactions. Recognise the presenting signs and symptoms of anaphylaxis and shock. Describe the assessment and appropriate intervention for a patient suffering from an anaphylactic reaction. Explain what prevention/support services are available to suffers.
过敏性休克的病因及表现特征尚不清楚。此外，对过敏性或类过敏反应患者的治疗并非总能有效实施。本文旨在纠正当前一些令人关注的问题，尤其着重介绍英国复苏委员会近期在这一主题上开展的工作（英国复苏委员会，1999/2001）。阅读本文后，你应能够：解释血液循环以及过敏反应期间发生的变化。总结抗原/抗体机制，特别是与过敏反应相关的机制。描述过敏性反应和类过敏反应之间的区别。识别过敏反应和休克的表现体征及症状。描述对过敏反应患者的评估及适当干预措施。解释为患者提供了哪些预防/支持服务。
